Author: Rylee Wilson

Two major Medicare changes signed into law in the Inflation Reduction Act will take effect in 2025. 

HHS' Office of Inspector General estimated three Medicare Advantage insurers received around $11.4 million in overpayments. 

While most Medicare Advantage plans offer dental benefits, few of these benefits are comprehensive, a study published Dec. 26 in JAMA found. 

An insurer reached a nearly $100 million settlement over allegations of overpayments, and CMS plans to sunset a value-based model over "unprecedented" costs. 

Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. 

Sanford Health Plan is expanding its Medicare Advantage offerings to more rural communities. 

Premera Blue Cross recognized the need for strong ethical commitments around AI even before the rise of ChatGPT and other easily accessible generative AI models. 

Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments. 

Medicaid could spend $29.9 billion on drugs to treat type 2 diabetes and weight loss, according to a report from HHS' Office of Inspector General. 

Humana has named Japan Mehta as chief information officer.